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The Blue Cross and Blue Shield Service Benefit Plan, also known as the BCBS Federal Employee Program® (BCBS FEP®), has been part of the Federal Employees Health Benefits Program (FEHBP) since its inception in 1960. It covers about 5.3 million federal employees, retirees and their families out of the nearly 8 million people who receive their benefits through the FEHBP.

The Blue Cross Blue Shield Association negotiates annually with the U.S. Office of Personnel Management (OPM) to determine the benefits and premiums for the Blue Cross and Blue Shield Service Benefit Plan. The 36 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. Those Plans, including Regence, are responsible for processing claims and providing customer service to our members.

Claims are processed according to the benefits, rules, guidelines and regulations of the federal government, which supersede state laws. Blue Cross and/or Blue Shield Plans offer three coverage options: Basic Option, Standard Option and FEP Blue Focus.

Dental plans

Information about the dental plans for Basic and Standard Option members is available on FEPblue.org. Note: FEP Blue Focus does not cover routine dental exams or other dental services.

Get the details.

Medical plans

Blue Cross and/or Blue Shield Plans offer three coverage options to FEP employees:  Basic Option, Standard Option and FEP Blue Focus.

  • Standard Option features:
    • Has a deductible
    • Can see any provider, including out of network
    • Out-of-pocket costs include copayments and coinsurance
  • Basic Option features:
    • Has no deductible
    • Must see Preferred providers
    • Most out-of-pocket costs are copayments
  • FEP Blue Focus features:
    • Has a deductible
    • Must see Preferred providers
    • Out-of-pocket costs include copayments and coinsurance

Get the details

Identifying members

All FEP member numbers start with the letter "R", followed by eight numerical digits. Note: On the provider remittance advice, that member number shows as an "8" rather than "R".

The enrollment code on member ID cards indicates the coverage type. View sample member ID cards.

Pre-authorization

Both the Basic and Standard Option Plans require that some services and supplies be pre-authorized. The Blue Focus plan has specific prior approval requirements.

View the lists:

Submit pre-authorization requests via the Availity Provider Portal.
Learn more.

Claims and contact information

Claims for members 65 and older are subject to Medicare pricing.

Prior Plan approval must be obtained for certain services. The pre-service claim approval processes for inpatient hospital admissions (called pre-certification) and for other services (called prior approval), are detailed in the online FEP Benefit Plan Brochure. A pre-service claim is any claim, in whole or in part, that requires approval from us before members receive medical care or services. In other words, a pre-service claim for benefits (1) requires precertification or prior approval and (2) will result in a reduction of benefits if pre-certification or prior approval is not obtained.

Timely claims filing guidelines

  • Participating and Preferred providers: Claims must be submitted within one year from the date of service. Note: If the local Blue Plan's provider contract includes a timely filing provision that is less than FEP's, the local Plan will follow that guideline.
  • Non-participating providers and members: Claims must be submitted no later than December 31 of the calendar year after the year in which the service was rendered (e.g., If the date of service is April 30, 2018, the claim must be submitted by December 31, 2019).

Correspondence - Disputed claims - Medical records requests

If you receive a request for medical records, they can be submitted via the options listed below. Note: The fax option is exclusively for medical records/chart notes that have been requested by FEP (via post claim review) not including requests related to appeals. Please continue to utilize appropriate methods for correspondence that has not been requested.

When submitting medical records via RightFax, the following information should be included:

  • R number
  • Patient name
  • Claim number
  • State (WA, OR, UT, ID) where services were rendered
  • Indicate whether the claim is professional or facility 
  • Provider contact information

Coordination of benefits

FEP members may only have benefits under one FEP plan; however:

  • They may have benefits under a non-FEP plan, in addition to their FEP coverage.
  • If Regence FEP is not the primary insurer, submit claims to the primary insurer first.
  • Please include primary payment information when submitting paper or electronic claims to Regence FEP for secondary payment.

Disputed claims

If the rendering provider disagrees with the payment determination on a claim, they may request a reconsideration. If the claim was denied as a provider write-off, the provider may appeal the decision. Learn more about the Appeals process. Send appeals for FEP claims to:

Regence FEP
P.O. Box 1388
Lewiston, ID 83501-1388

If the claim was denied as member responsibility, the member may request reconsideration as outlined in their Blue Cross and Blue Shield Service Benefit Plan brochure (federal benefits brochure).

  • If the member is still dissatisfied with the outcome, he or she may submit a written appeal to the OPM.
  • Parties acting as a representative for the member, such as medical providers, must include a copy of the member's specific written consent with the review request.
  • This procedure is outlined in detail in the federal benefits brochure.

Contact FEP Provider Customer Service.

Health and wellness

BCBS FEP's Hypertension Management Program

Learn about FEP's Hypertension Management Program and their focus on blood pressure monitor benefit and procedures. Share these informational flyers with your FEP patients:

BCBS FEP Diabetes Management Incentive Program

This program is designed to help educate and support Standard and Basic Option members only who take an active role in managing their diabetes.

Through this program, members can earn up to $100 on their MyBlue® Wellness Card by participating in the program. These rewards can be used to pay for qualified medical expenses, such as copays and prescriptions.

To qualify for the program, the FEP member must be 18 or older and be the contract holder or spouse. To be automatically enrolled and earn rewards, members must complete their Blue Health Assessment (BHA) and indicate they have Type 1 or Type 2 diabetes.

Members can earn $25 by logging into MyBlue and submitting their A1c results from their last test performed between January 1 through June 30, 2019. The member will earn an additional $75 on their MyBlue Wellness Card by submitting a second A1c result that is lower than 8% between July 1 and December 31, 2019. If the second A1c test result is 8% or higher, members can still earn $75 when we receive claims showing they attended three nutritional counseling session during the calendar year.

These services are covered at no cost to the member. For more information, members can visit fepblue.org.